Organization Active NPI

McNally Psychological Consultants, Incorporated

  • Clinical Psychologist
  • Wake Forest, NC
National Provider Identifier
1992021752
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2107 Issued in NC
Legal business name
MCNALLY PSYCHOLOGICAL CONSULTANTS, INCORPORATED
Practice address
2320 Avinshire PL
Wake Forest, NC 27587-5375
Phone
(919) 880-6575
Fax
(919) 556-7219
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Matthew William McNally, LPANPI 1154526259
Title
President/Psychologist
Phone
(919) 880-6575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 2107 NC Primary

Addresses

Primary practice location

2320 Avinshire PL
Wake Forest, NC 27587-5375

Mailing address

2320 Avinshire PL
Wake Forest, NC 27587-5375
Phone (919) 880-6575

Other identifiers 1

IdentifierTypeStateIssuer
6107057MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1992021752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 AVINSHIRE PL",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875375",
            "telephone_number": "919-880-6575",
            "fax_number": "919-556-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 AVINSHIRE PL",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875375",
            "telephone_number": "919-880-6575",
            "fax_number": "919-556-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNALLY PSYCHOLOGICAL CONSULTANTS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-880-6575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107057",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.